Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fort Wayne Medical Education Program

Organization Family Medicine Physician · NPI 1184635153

Fort Wayne Medical Education Program is a Family Medicine Physician in Fort Wayne, Indiana. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

750 Broadway Ste 350
Fort Wayne, IN 46802-1412
Phone: (260) 423-2675
Fax: (260) 423-6621
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1184635153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Harris — Chief Operating Officer · (260) 423-2682
Other names The Family Medicine Center
NPI enumeratedAugust 11, 2006
Last updated in NPPESApril 20, 2015
Mailing address750 Broadway, Suite 150, Fort Wayne, IN 46802-1412

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